Year : 2016 | Volume
: 24 | Issue : 1 | Page : 12-
Commentary on making of a burn unit - SOA center
Choithram Hospital and Research Centre, Indore, Madhya Pradesh, India
Choithram Hospital and Research Centre, Indore, Madhya Pradesh
|How to cite this article:|
Chamania S. Commentary on making of a burn unit - SOA center.Indian J Burns 2016;24:12-12
|How to cite this URL:|
Chamania S. Commentary on making of a burn unit - SOA center. Indian J Burns [serial online] 2016 [cited 2018 May 23 ];24:12-12
Available from: http://www.ijburns.com/text.asp?2016/24/1/12/195529
The author and his fantastic team deserve a pat on their backs for having a compassionate outlook for the suffering burn population in the region. This is not an easy step. To have developed the unit and managed 121 patients in the initial phase is commendable. They have maintained focus on the holistic care for burns in the best possible infrastructure. This is the result of dreaming big and achieving the goals!!
This raises some questions in our minds: will they be able to sustain the maintenance of the unit as a whole at Rs. 5000/day? Does that include the cost of medication? With all the modern amenities in a private set up the cost becomes out of reach of the majority of the patients and that defeats the purpose as the majority of burn patients come from the low-income group. I understand that occupational burns can be accommodated very comfortably here.
Patients are treated initially in the emergency room and later in the plastic surgery ward which presumably does not have the same environment control facility. Usually, the convalescent patients like to come out of the room and walk around, socialize, and sometimes even go out of the facility for a ride. Visitors are permitted in the facility too. Hence, strict discipline is difficult to maintain, and infection is bound to occur unless one has closed the wound successfully within 2–3 days.
Visitors in the Indian scenario work as paramedics and help the nurses in caregiving. They are the most important resource for the tender loving care a sick person requires. Of course, they are also responsible for spreading infection which means a continuous education must go on for them.
I am afraid that most young burn surgeons may take the message that to have good burn outcomes such a facility is mandatory.
I would like to stress on having a clean well-ventilated facility with a natural exchange of air, earliest closure of the wound, minimizing the need to dress the wound, early mobilization, and good nutrition along with the rest of the burn team efforts. These measures can also duplicate good outcomes achieved in this center.
We will look forward to more reports from this facility on infection rates, improving survivals and outcomes, and the cost-effective treatment. Congratulations once again to have taken steps in the less preferred path and best wishes.